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HEALTHLINC PHARMACY, LLC.
CH0530920 HEALTHLINC INC
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Covered Entity Details
Entity Name
HEALTHLINC INC
Subdivision Name
HealthLinc Valparaiso
Type
HRSA-Funded Health Center
340B ID
CH0530920
Entity Address
1001 Sturdy Rd
Valparaiso, IN 46383-4126
Grant Number
H80CS06662
Participating Start Date
1/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
HEALTHLINC PHARMACY, LLC.
Pharmacy Address
420 W 4TH ST
MISHAWAKA, IN 46544-1948
Pharmacy Comments
Contract Details
Approval Date
3/28/2020
Contract Begin Date
3/30/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/26/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
BETH WROBEL, CEO
(219) 465-9500
Contract Pharmacy Representative
HealthLinc
BETH WROBEL, CEO
(219) 465-9500
Signed By Date
3/28/2020
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